Evidence map›Paper›PMID 27837325›Full record

ArticleEuropean journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology2017

Reduced length of hospital stay through a point of care placed automated blood culture instrument.

M J Bruins, M J Egbers, T M Israel, S H A Diepeveen, M J H M Wolfhagen

Abstract readEvaluation Study
PubMed Publisher
In one paragraph

Article in European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Article
  2. Diagnostic stewardship in sepsis: minding the gap from the microbiology lab to ward.Revista espanola de quimioterapia : publicacion oficial de la Sociedad Espanola de Quimioterapia · 2025
    Review
  3. An assessment of the downstream implications of blood culture collection and transit.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2023
    Article
  4. Improved blood culture workflow in the time to detection of microorganisms placing incubators systems outside of microbiology laboratory.Brazilian journal of microbiology : [publication of the Brazilian Society for Microbiology] · 2020
    Article
  5. Evaluation of a model to improve collection of blood cultures in patients with sepsis in the emergency room.European journal of clinical microbiology & infectious diseases : official publication of the European Society of Clinical Microbiology · 2018
    Observational
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

M J BruinsLaboratory of Clinical Microbiology and Infectious Diseases, Isala, Dr van Heesweg 2, 8025 AB, Zwolle, The Netherlands. m.j.bruins@isala.nl.
M J EgbersLaboratory of Clinical Microbiology and Infectious Diseases, Isala, Dr van Heesweg 2, 8025 AB, Zwolle, The Netherlands.
T M IsraelLaboratory of Clinical Microbiology and Infectious Diseases, Isala, Dr van Heesweg 2, 8025 AB, Zwolle, The Netherlands.
S H A DiepeveenDepartment of Internal Medicine, Isala, Zwolle, The Netherlands.
M J H M WolfhagenLaboratory of Clinical Microbiology and Infectious Diseases, Isala, Dr van Heesweg 2, 8025 AB, Zwolle, The Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Early appropriate antimicrobial treatment of patients with sepsis has a large impact on clinical outcome. To enable prompt and efficient processing of blood cultures, the inoculated vials should be placed into an automated continuously monitoring blood culture system immediately after sampling. We placed an extra BACTEC FX instrument at the emergency department of our hospital and validated the twice-daily re-entering of ongoing vials from this instrument into the BACTEC FX at the laboratory. We subsequently assessed the benefits of shortening the transport time between sampling and monitored incubation of blood culture vials by comparing the turnaround times of positive blood cultures from emergency department patients with a historical control group. Re-entering ongoing vials within 2 h raised no technical problems with the BACTEC FX and did not increase the risk of false-negative culture results. The decreased transport time resulted in significantly earlier available Gram stain results for a large proportion of patients in the intervention group and a significant shortening of the median total turnaround time to less than 48 h. The median length of hospital stay shortened by 1 day. Immediate entering of blood culture vials into a point of care placed BACTEC FX instrument and subsequent efficient processing enables earlier decision-making regarding antimicrobial treatment, preventing the development of antimicrobial resistance and reducing healthcare costs.

Indexed as

Point-of-Care SystemsAgedAged, 80 and overBlood CultureEarly DiagnosisFemaleHumansLength of StayMaleMiddle AgedSecondary PreventionSepsis

Identifiers

What OpenQuestion holds

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.